• 四川大學(xué)華西醫(yī)院普外科,四川成都 610041;

目的:探討Mirizzi綜合癥的診斷治療特點(diǎn),以提高其診斷和治療水平。方法:對(duì)35例經(jīng)手術(shù)證實(shí)為Mirizzi綜合癥的臨床資料進(jìn)行回顧性分析。結(jié)果:35例Mirizzi綜合癥患者中僅4例(11.4%)術(shù)前確診。Ⅰ型7例,Ⅱ型17例,Ⅲ型9例,Ⅳ型2例。5例行膽囊切除術(shù),2例行膽囊大部分切除術(shù);膽囊切除、膽囊瓣瘺口修補(bǔ)6例,12例行膽囊切除、膽總管探查、瘺口修補(bǔ)、T管引流術(shù);膽囊切除、膽腸吻合術(shù)10例。術(shù)后恢復(fù)好,隨訪結(jié)果,無(wú)嚴(yán)重并發(fā)癥.結(jié)論:Mirizzi綜合癥術(shù)前確診困難,B超結(jié)合MRCP/ERCP檢查可以提高M(jìn)irizzi綜合癥的術(shù)前確診率,手術(shù)容易損傷膽管,手術(shù)方式應(yīng)據(jù)病理?yè)p傷程度決定。

引用本文: 肖昌武,李寧,蔣力生,周勇. Mirizzi綜合征的臨床診斷與治療探討分析. 華西醫(yī)學(xué), 2009, 24(1): 74-76. doi: 復(fù)制

1. Csendes A,Diaz JC,Burdiles P,et al. Mirizzi syndrome and cholecystobiliary fistula:a unifying classification[J].Br J Surg,1989,76 (11):1139-1143..
2. Shah OJ,Dar MA,Wani MA,et al.Management of Mirizzi syndrome:a new surgical approach.[J].ANZ J Surg,2001,71(7):423-427..
3. Johnson LW,Sehon JK,Lee WC,et al.Mirizzi’s syndrome:experience from a multiinstitutional review[J].Am Surg,2001,67 (1):11-14..
4. Becker C D,Hasler H,Terrier F.Preoperative diagnosis of the Mirizzi syndrome:limitations of sonography and computed tomography[J].AJR Am J Radiol,1984,143(3):519-516..
5. Tan KY,Chng HC,Chen CY,et al.Mirizzi syndrome:noteworthy aspects of a retrospective study in one centre[J].ANZ J Surg,2004,74(10): 833-837..
6. Safioleas M,Stamatakos M,Revenas C,et al.An alternative surgical approach to a difficult case of Mirizzi syndrome:a case report and review of the literature[J].World J Gastroenterol,2006,12(34): 5579-5581..
7. 朱瑜,寇玉彬,王錦梁,等.Mirizzi綜合征的腹腔鏡診治體會(huì)[J].腹腔鏡外科雜志,2007,12(6):522-524..
  1. 1. Csendes A,Diaz JC,Burdiles P,et al. Mirizzi syndrome and cholecystobiliary fistula:a unifying classification[J].Br J Surg,1989,76 (11):1139-1143..
  2. 2. Shah OJ,Dar MA,Wani MA,et al.Management of Mirizzi syndrome:a new surgical approach.[J].ANZ J Surg,2001,71(7):423-427..
  3. 3. Johnson LW,Sehon JK,Lee WC,et al.Mirizzi’s syndrome:experience from a multiinstitutional review[J].Am Surg,2001,67 (1):11-14..
  4. 4. Becker C D,Hasler H,Terrier F.Preoperative diagnosis of the Mirizzi syndrome:limitations of sonography and computed tomography[J].AJR Am J Radiol,1984,143(3):519-516..
  5. 5. Tan KY,Chng HC,Chen CY,et al.Mirizzi syndrome:noteworthy aspects of a retrospective study in one centre[J].ANZ J Surg,2004,74(10): 833-837..
  6. 6. Safioleas M,Stamatakos M,Revenas C,et al.An alternative surgical approach to a difficult case of Mirizzi syndrome:a case report and review of the literature[J].World J Gastroenterol,2006,12(34): 5579-5581..
  7. 7. 朱瑜,寇玉彬,王錦梁,等.Mirizzi綜合征的腹腔鏡診治體會(huì)[J].腹腔鏡外科雜志,2007,12(6):522-524..